coquitlam lions water polo club – registration package...

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Coquitlam Lions Water Polo Club – Registration Package 2017/18 1 REGISTRATION INFORMATION FOR THE 2017/18 SEASON REGISTRATION BY MAIL Please complete the attached registration form IN FULL and make cheques payable to Coquitlam Lions Water Polo Club. Please note that we offer optional practices and swim practices for select age groups for an additional fee. Please send the complete registration form and the cheques by August 31, 2017 (based on postmark) to the following address: Coquitlam Lions Water Polo Club 58- 902 Clarke Road Port Moody BC, V3H 1L5 REGISTRATION ONLINE Online registration starts on July 15, 2017 at www.lionswaterpolo.ca. Please complete the online registration form prior to the in-person registration dates and bring the following signed forms and payment to one of the in-person registration sessions. Alternatively, you can mail your cheque and the signed forms to the above address. Registration Form (Pages 5-6) Code of Conduct Signatures (Page 7) Media Release & Waiver (Page 8) Volunteer Program Commitment Form (Page 12) Team Apparel Order Form (Page 15) REGISTRATION IN-PERSON Date Time Location Note August 26, 2017 2:00-3:30 pm CCAC Lobby Registration + Free Try-It Session Sept 7, 2017 7:00-8:00 pm Eagle Ridge Pool 1 st practice for Youth Sept 9, 2017 4:00-5:30 pm Poirier Sports and Leisure -Room 1 1 st practice for 10U-12U-14U See page 2 for dates of first practices of the season. Full practices schedule available on the website under Calendar. FEE STRUCTURE FOR 2017/2018 SEASON Team YOB Age Full Season Rate* ($60 insurance included) 10U 2008 or later 6 – 9 yrs. $250 12U 2006-2007 10 - 11 yrs. $420 14U 2004-2005 12 - 13 yrs. $420 YOUTH 2000-2003 14 - 17 yrs. $420 New Athlete or Beginners * $250 High Performance * (insurance NOT included) $220

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Page 1: Coquitlam Lions Water Polo Club – Registration Package 2017…lionswaterpoloca.ipage.com/wp-content/uploads/2017/07/2017-18... · Coquitlam Lions Water Polo Club – Registration

Coquitlam Lions Water Polo Club – Registration Package 2017/18

1

REGISTRATION INFORMATION FOR THE 2017/18 SEASON

REGISTRATION BY MAIL

Please complete the attached registration form IN FULL and make cheques payable to Coquitlam Lions Water Polo Club.

Please note that we offer optional practices and swim practices for select age groups for an additional fee. Please send

the complete registration form and the cheques by August 31, 2017 (based on postmark) to the following address:

Coquitlam Lions Water Polo Club 58- 902 Clarke Road Port Moody BC, V3H 1L5

REGISTRATION ONLINE

Online registration starts on July 15, 2017 at www.lionswaterpolo.ca. Please complete the online registration form

prior to the in-person registration dates and bring the following signed forms and payment to one of the in-person

registration sessions. Alternatively, you can mail your cheque and the signed forms to the above address.

• Registration Form (Pages 5-6)

• Code of Conduct Signatures (Page 7)

• Media Release & Waiver (Page 8)

• Volunteer Program Commitment Form (Page 12)

• Team Apparel Order Form (Page 15)

REGISTRATION IN-PERSON

Date Time Location Note

August 26, 2017 2:00-3:30 pm CCAC Lobby Registration + Free Try-It Session Sept 7, 2017 7:00-8:00 pm Eagle Ridge Pool 1st practice for Youth Sept 9, 2017 4:00-5:30 pm Poirier Sports and Leisure -Room 1 1st practice for 10U-12U-14U

See page 2 for dates of first practices of the season. Full practices schedule available on the website under Calendar.

FEE STRUCTURE FOR 2017/2018 SEASON

Team YOB Age Full Season Rate* ($60 insurance included)

10U 2008 or later 6 – 9 yrs. $250 12U 2006-2007 10 - 11 yrs. $420 14U 2004-2005 12 - 13 yrs. $420 YOUTH 2000-2003 14 - 17 yrs. $420 New Athlete or Beginners * $250

High Performance * (insurance NOT included) $220

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NOTE:

* Payment in two installments accepted: submit your cheques dated September 7, 2017 & post-dated January 1, 2018

* All 12U and 14U athletes will be divided by ability into a Developmental and Intermediate group for practices only.

There is no division of athletes in the YOUTH group. Each group (other than 10U) is offered two practices a week, one

conditioning and skill building practice and one with drills and game skills building. The practice schedule for the is as

follows

Group Date Type of practice Time Location

Development Fridays Conditioning & skills 4:30-5:45 pm Hyde Creek Pool Saturdays Drills & scrimmage 4:15-5:30 pm Poirier (Chimo) Pool Intermediate Fridays Conditioning & skills 5:30-6:45 pm Hyde Creek Pool Saturdays Drills & scrimmage 5:15-6:30 pm Poirier (Chimo) Pool Youth Tuesdays Swim conditioning 8:00-9:15 pm CCAC Thursdays Drills & scrimmage 7:15-9:30 pm CCAC

* The assignment of the 12U and 14U athletes into practice groups will be based on the Coach’s recommendation.

During the first week, please come to the practices as per the FIRST PRACTICE schedule (see below).

* The teams we field for League games will continue to be built based on age group and will be even strength teams.

* Sibling discount for families registering 3 or more children: $50.00 off each child with the exception of High

Performance Registrations. Sibling Discount not applicable to HP rate as that is already a discounted rate.

* To qualify for the HP discounted rate, athletes must be registered with Pacific Storm or Fraser Valley Water Polo Clubs

and practice at least 4 times a week. The $220 fee includes one practice & games. HP athletes are also welcome to

attend the conditioning practice if their schedule allows. Please provide a copy of your insurance receipt from HP club.

* New Athletes or Beginners wishing to only try out the sport without playing games pay a reduced fee and would be

placed in the Developmental group.

Athletes will not be permitted to enter the water and commence practices until signed registration forms and

payment are received for insurance purposes.

REGISTRATION DETAILS Registration fee includes:

• twice a week practices at Poirier Pool or Hyde Creek Pool (12U, 14U) and CCAC (YOUTH)

• once a week practice at Poirier Pool for 10U athletes

• half season Jamboree Tournament and end of season LMWPL Championship Tournament

• team T-shirt

Fundraising:

• Our registration fees are subsidized by the annual BC Provincial Gaming Grant. In the event that our Club does

not receive a grant, we will introduce fundraising events to make up the shortfall.

• Participation in fundraising events will be mandatory and will count towards volunteering hours where

applicable.

FIRST PRACTICE FOR EACH GROUP

Group Date Time Location

YOUTH Thursday, September 7, 2017 7:15-9:30 pm Eagle Ridge Pool 10U / 12U Saturday, September 9, 2017 4:15-5:30pm Poirier (Chimo) Pool

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14U Saturday, September 9, 2017 5:15-6:30 pm Poirier (Chimo) Pool Developmental Friday, September 22, 2017 4:30-5:45 pm Hyde Creek Pool Intermediate Friday, September 22, 2017 5:30-6:45 pm Hyde Creek Pool YOUTH skills Tuesday, October 10, 2017 8:00-9:15 pm CCAC

*Hyde Creek Pool closed for Maintenance till Sept 22. All Developmental and Intermediate practices before Sept 22 will

be at Poirier Pool.

*We are expecting League games to start on September 23. Until League games start, practices at Poirier Pool for

10U/Developmental and Intermediate groups are Saturday & Sunday. YOUTH practices are Thursday & Saturday at Eagle

Ridge Pool.

Please refer to our website calendar for latest schedule : http://www.lionswaterpolo.ca/

VOLUNTEER PROGRAM

Our club is a parent-run organization. The success of our weekly league games and seasonal tournaments depends on

parent volunteers. Each family registered in our club is required to participate in a minimum of 10 hours of volunteer

activities OR make a $150 contribution to the club in lieu of time.

Along with your registration forms, please enclose ONE of the following:

• Families participating in volunteer activities: a $150 cheque post-dated April 20, 2018

OR

• Families NOT participating in volunteer activities: a $150 cheque dated September 1, 2017

NOTE:

• Families unable to fulfill a minimum of 10 hours of volunteer activities will have their cheque cashed April 30, 2018

• There are no reimbursements for partially completed hours

Guidelines for volunteering entries

Record Keeping

A Volunteer Tracking Form is included in the Registration Package for you to keep track of volunteer activities

completed. All completed Volunteer Tracking Forms should be submitted electronically by April 20th, 2018. Please scan

or take a picture and email to: [email protected]

Exemptions

• Team Managers, Webmaster, Clothing Manager and members of the Executive Board are exempted from

participation in the Volunteer Program with the expectation that they will volunteer as minor officials are

needed at the weekly games and/or tournaments.

• Families whose children are registered in the 10U Program only are exempt but are expected to volunteer

at the scheduled LMWPL scrimmages.

Volunteer Activity Hours earned How to sign up

Parent volunteer training session in September 2017 1 hr Attend meeting and sign the sign-in sheet Club AGM in April 2018 1 hr Attend meeting and sign the sign-in sheet Table official at weekly league games 1 hour/ game Shifts will be assigned to participating families Table official at Winter & Spring Tournaments 1 hour/ game Sign-up sheet prior to the tournament date

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FAQ

1. What do Table Officials do?

The Table Officials’ jobs are: Timer, Game Recorder, Scorekeeper and Kick-Out.

2. What are my responsibilities?

• Arrive for your shift on time and complete the entire shift.

• In the event you cannot work a shift you’ve been assigned, arrange for a replacement and inform your Team

Manager.

• If you have not been assigned sufficient shifts during the weekly games, sign up for additional shifts during

tournaments so that your volunteer commitment is completed.

• Ensure you’ve volunteered for sufficient shifts to fulfill your volunteer commitment.

3. How do I get credited for the work I’ve done?

• For Table Officials shifts, take a picture of the scoresheet and email to: [email protected]

• For AGM & Volunteer Training Sessions, sign the Sign-In sheet.

• Keep a record of completed shifts using the Volunteer Tracking Form

4. What should I do if I cannot work a shift I’ve been assigned?

• You are responsible for finding another parent to replace you. A team contact list will be provided.

• Let your Team Manager know who will be replacing you.

5. What happens if I don’t complete the minimum 10 hours?

Any family unable to fulfill the minimum 10 hours of volunteer activities will have their cheque cashed on April 30,

2018. There are no reimbursements for partially completed hours.

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Season: 2017/2018 Date: ________________

ATHLETE INFORMATION

Last Name: First Name: Gender: M / F

Date of Birth (DD/MM/YYYY):

Team: 10U 12U 14U YOUTH HP*

Address: City: Prov: BC

Postal: Email:

Home Phone: Cell Phone:

* For HIGH PERFORMANCE ATHLETES registered with an HP Club:

Name of HP Club: Number of practices a week:

FAMILY INFORMATION Interested in volunteering as Team Manager

Father/ Guardian Name

Mother/ Guardian Name

Address:

Address:

Home Phone: Home Phone:

Cell Phone: Cell Phone:

Email: Email:

Date of Birth Date of Birth

Emergency Phone number: Name:

MEDICAL INFORMATION

Athlete Care Card #:

Family Doctor: Doctor’s Phone:

Athlete’s Relevant Medical Information, Allergies:

TEAM T-SHIRT SIZE

Team T-Shirt – FREE YOUTH: YS YM YL ADULT: S M L XL

1

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I/We, the parent(s)/guardian(s) of ________________________________________ confirm the above information is accurate

and can be used for emergency purposes, and for insurance purposes.

I/We agree that my/our contact information is shared with other club members for the purpose of coordinating volunteer activities.

I/We the parent(s) /guardian(s) for the above named athlete(s), hereby give my/our approval for his/her/their participation in all

Water Polo activities with Coquitlam Lions. We assume all risk and hazards incidental to such participation, including traveling to

and from activities. We do hereby waive, release, absolve, indemnify the organizers, coaches, managers, referees, assisting or

participating parents and persons transporting the above named athlete(s) to or from activities for any claim arising out of any injury

to our son or daughter named above.

I/We understand that the placement of players on teams is based on age, ability and the objective of forming balanced teams. The

club cannot guarantee to satisfy requests with regards to team placement.

Parent/Guardian (1): _______________________________ _______________________________

Print Name Signature

Parent/Guardian (2): _______________________________ _______________________________

Print Name Signature

Date: ________________________

*****************************SECTION FOR CLUB OFFICIAL USE ONLY*********************

Total Amount Paid: $ By Cheque # Cash

$ By Cheque # Cash

$ By Cheque # Cash

Volunteer Cheque: $ By Cheque #

For the following player(s): 1.

2.

3.

4.

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ATHLETE CODE OF CONDUCT

Participant responsibilities (includes athletes, coaches and officials):

1. As a player participating in the Lower Mainland Water Polo League, there will be ZERO TOLERANCE for overly

aggressive/physical play as it compromises any player’s right to a safe and enjoyable game.

2. Any punching or similarly violent act will result in immediate ejection from the game and the incident will be subject

to review according to Lower Mainland Water Polo League Discipline Procedures.

3. Participants are required to conduct themselves in a sportsmanlike manner. Failure to act appropriately will result in

review according to LMWPL Discipline Procedures and/or individual member club bylaws.

4. Any questionable incidents during LMWPL Games are required to be followed up by a written incident report by the

referees and coaches present during the game. Incident forms are to be kept at all pools, or obtained from club

presidents.

5. Participants involved in incidents are expected to issue apologies.

6. Participants will abide by Coquitlam Lions Water Polo Club’s Bullying Policy

I, _________________________ acknowledge that I have read and understand the LMWPL Participant Code of Conduct

and agree that I will comply with these responsibilities.

Signature of Athlete_____________________________________________ Date______________________

Signature of Athlete_____________________________________________ Date______________________

PARENT CODE OF CONDUCT

I/We _____________________________________ have read all of the terms and conditions of the Parent(s) Code of

Conduct and accept and agree to abide by all of them. I understand that failure to adhere to any of the terms and

conditions may result in disciplinary action as noted in this Code of Conduct, and if not respected, may jeopardize my

child/children’s membership in the Club.

______________________________ ________________________________

Parent/Guardian Printed Name Signature

______________________________ ________________________________

Parent/Guardian Printed Name Signature

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MEDIA RELEASE AND WAIVER FORM

I hereby grant permission to the Coquitlam Lions Water Polo Club to:

• Use photographs, videos, or interviews of my family and my athletes to be published in print, or electronically

reproduced for the Coquitlam Lions Water Polo Club’s website or Bulletin Board or for promotional material for

the Coquitlam Lions Water Polo Association or BC Water Polo Association.

• Use first names with any photographs, videos, or interviews.

• Their names, photos, videos, or interviews may be reproduced in newspapers, magazines, television, brochures,

posters, promotional material, web sites, or may be used in any other way, without liability on the part of the

Coquitlam Lions Water Polo Association, or BC Water Polo Association, their facilities, agents, and employees or

on the part of the media in which the photographs, videos, or interviews may appear to be used at any time in

the future. I waive any rights of compensation and ownership for these photos, videos, or interviews.

__________ YES permission is granted

__________ NO permission is NOT granted

I/We, ________________________________ acknowledge that I/we have read and understand the Media Release and

Waiver Form

Signature of athlete (if over age of 18) __________________________________________

Signature of parent/guardian (if participant under the age of 18) _____________________

Date _________________

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*Please Retain this Copy of our club Code of Conduct for your Reference

ATHLETE CODE OF CONDUCT

Participant responsibilities (includes athletes, coaches and officials):

1. As a player participating in the Lower Mainland Water Polo League, there will be ZERO TOLERANCE for overly

aggressive/physical play as it compromises any player’s right to a safe and enjoyable game.

2. Any punching or similarly violent act will result in immediate ejection from the game and the incident will be subject

to review according to Lower Mainland Water Polo League Discipline Procedures.

3. Participants are required to conduct themselves in a sportsmanlike manner. Failure to act appropriately will result in

review according to LMWPL Discipline Procedures and/or individual member club bylaws.

4. Any questionable incidents during LMWPL Games are required to be followed up by a written incident report by the

referees and coaches present during the game. Incident forms are to be kept at all pools, or obtained from club

presidents.

5. Participants involved in incidents are expected to issue apologies.

6. Participants will abide by Coquitlam Lions Water Polo Club’s Bullying Policy

BULLYING POLICY

Definition Bullying means repeated and aggressive behaviour by a club member (athlete or parent), executive, or coach where, a. the behaviour is intended by the individual to cause, or the individual ought to know that the behaviour would be likely to cause, harm, fear or distress to another individual, including psychological harm or harm to the individual’s reputation,

and

(b) the behaviour occurs in a context where there is a real or perceived power imbalance between the recipient and the individual based on factors such as size, strength, age, intelligence, peer group power, economic status, social status, religion, ethnic origin, sexual orientation, family circumstances, gender, race, disability or the receipt of special education.

Bullying can occur one on one or in a group(s) of people. There are many different forms of bullying:

• Physical bullying (using your body or objects to cause harm): includes hitting, punching, kicking, spitting, coercing or breaking someone else's belongings.

• Verbal bullying (using words to hurt someone): includes name calling, put-downs, threats and teasing. • Social bullying (using your friends and relationships to hurt someone): includes spreading rumours, gossiping,

humiliating initiation practices or hazing, mobbing, scapegoating, excluding others from a group or making others look foolish or unintelligent.

• Cyber bullying includes using the internet or text messaging to intimidate, put-down, spread rumours or make fun of someone.

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Bullying does not include: • expressing differences of opinion • offering constructive feedback, guidance, or advice about work-related behaviour • reasonable action taken by an employer or supervisor relating to the management and direction of workers or

the place of employment (e.g. performance reviews or meetings re performance of job duties)

• managing a worker’s performance, taking reasonable disciplinary actions, assigning work Procedure In the event of perceived bullying, it will be the claimant’s responsibility to provide a written letter to the President of the Coquitlam Lions Water Polo Club, detailing the events deemed to be bullying no later than 21 days after the event. The President will inform the Executive of the infraction within 7 days of receiving the letter. It will be the President's responsibility, or his or her surrogate, to conduct a review of all information, conduct interviews as necessary, and provide a report back to the Executive within 14 days of receiving the letter, or at the next executive meeting, whichever comes first. The Executive shall then vote by a majority if said infraction is deemed to be bullying. Sanctioning will be determined by majority agreement of the Executive and may include verbal warning, referral to BCWPA, or even recommendation for removal of membership from the Coquitlam Lions as per appropriate processes as cited in the Bylaws.

PARENT CODE OF CONDUCT

The essential elements of character building and ethics in sports are embodied in the concept of sportsmanship and six

core principles including: trustworthiness, respect, responsibility, fairness, caring and good citizenship. The highest

potential of sports is achieved when competition reflects these six pillars of character and both children and their

parents are expected to enact these core principles.

The Club has adopted these core principles and expects each parent, in support of their athlete(s) to strictly abide by

them. The following outlines the terms and conditions of the Parent Code of Conduct and membership in the Club are

contingent upon agreement to all of the terms:

1. I/We will not force my/our child to participate in the Club against his/her will

2. I/We will remember that children participate in sport to have fun and that the game is for youth, not adults

3. I/We will inform the Coach of any physical or emotional disability or ailment that may affect the safety of

my/our child or the safety of others

4. I/We will learn the rules of the game and the policies of the club

5. I/We (and my/our guests) will be a positive role model for my/our child and encourage sportsmanship by

showing respect and courtesy, and by demonstrating positive support for all players, coaches, officials, and

spectators at every game, practice, tournament, or other event

6. I/We (and my/our guests) will not engage in any unsportsmanlike conduct with any official, coach, player, or

parent such as booing and taunting; refusing to shake hands; or using profane language or gestures

7. I/We will not encourage any behaviours or practices that would endanger the health and wellbeing of the

athletes

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8. I/We will teach my/our child to play by the rules and to resolve conflicts without resorting to hostility or violence

9. I/We will demand that my/our child treat other players, coaches, officials and spectators with respect

10. I/We will teach my/our child that doing one’s best is more important than winning, so that my/our child will

never feel defeated by the outcome of a game of his/her performance

11. I/We will praise my/our child for competing fairly and making the best effort possible

12. I/We will never ridicule or yell at my/our child or any other participant for making a mistake or losing a

competition

13. I/We will emphasize skill development and practices and how they benefit my/our child over winning. I/We will

also de-emphasize games and competition in the lower age groups

14. I/We will promote the emotional and physical well-being of the athletes ahead of any personal desire(s) I/We

may have for my/our child to win

15. I/We will respect the officials and their authority during games and will never question, discuss or confront

coaches at the pool and will take time to speak with officials or coaches at an agreed upon time and place

16. I/We will demand a sports environment for my/our child that is free from drugs, tobacco and alcohol

17. I/We will refrain from coaching my/our child or other athletes during games and practices, unless I/we am/are

one of the official coaches of the team

18. I/We understand that no athlete will be allowed to participate in any practice or game unless he/she is

registered with the Club and the B.C. Water Polo Association

19. I/We will refrain from engaging the coaches in conversation during practices and understand that if I have

questions for the coaches I need to schedule a time outside practice schedule and at the coaches convenience

to discuss

20. I/We understand that the Club encourages and supports principles of fair play and equal play for all players.

However, at major tournaments notably the mid-season and Year-End League Tournaments, teams “play-to-

win”

21. I/We are aware of and will abide, and have my child abide, by the Club’s Bullying Policy

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COQUITLAM LIONS

VOLUNTEER PROGRAM COMMITMENT

Parents’/Guardians’ Names:

1.______________________________________________2.___________________________________________

Children Registered:

1.______________________________________________2.___________________________________________

3.______________________________________________4.___________________________________________

Please select ONE of the following options:

We will participate in the Volunteer Program. We will complete a minimum of 10 hours of volunteer activities and

acknowledge that there will be no refunds of our deposit should we fail to complete the minimum 10 hours.

We will keep a record of our volunteer hours using the Volunteer Tracking Form.

A cheque for $150 post-dated April 20, 2018 has been enclosed with our registration.

We will NOT participate in the Volunteer Program. A cheque for $150 dated September 1, 2017 has been enclosed with our registration.

__________________________________________ _____________________

Parent/Guardian Signature Date

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COQUITLAM LIONS VOLUNTEER TRACKING FORM

Parents’/Guardians’ Names:

1.______________________________________________2.___________________________________________

Children Registered:

1.______________________________________________2.___________________________________________

3.______________________________________________4.___________________________________________

Please use this form to keep a record of your volunteer hours

Date Volunteer Job Description

(eg: Timer, 14U game at CCAC) # Hours

Total Hours

• Each Family must complete a minimum of 10 hours of volunteer jobs.

• There are no reimbursements for partially completed hours.

• All additional participation is greatly appreciated.

Please submit your completed form electronically, either by scanning or taking a picture and email to: [email protected] by April 20th 2018.

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TEAM APPAREL

ORDER DEADLINE: Sept 17, 2017

Custom products for Coquitlam Lions Water Polo Club

Being part of a club and water polo team, we expect players to act and look like one, too!

• All team players should wear the club’s t-shirt and body suit/brief during the water polo games and

tournaments.

• All coaches should wear the club’s coaching t-shirt while on the deck at both practices and games/tournaments.

The Coquitlam Lions’ team suits are supplied by FORCE-Sport. Please see below for the sizing chart

Please make your selection on the next page for the team suit order and hand in the form along with payment by

September 17, 2017. We expect delivery by mid-October.

Boys Briefs Price: $35.00 CAD

Girls Bodysuit (Reverse Zip) Price: $55.00 CAD

The price includes taxes and the payment needs to be made by

cheque to Coquitlam Lions Water Polo

Sizing Charts:

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TEAM APPAREL ORDER DETAILS

Please hand in your order form and payment by cheque made out to Coquitlam Lions Water Polo by

September 17, 2017.

Last Name: First Name: Gender: M / F

Email:

Home Phone: Cell Phone:

Team: 10U 12U 14U YOUTH

ITEM SIZE (Please consult sizing chart above for

available swim suit sizes)

QUANTITY

Boys Brief - $35

Girls Bodysuit - $55

NEW: Team T-shirt for Parents - $10 ADULT: S M L XL

*****************************SECTION FOR OFFICIAL USE ONLY***************************

Amount Paid: $ By Cheque # Cash

Suits Order Confirmed by: Delivered On:

Date: Authorized Club Signature: